This section is to be completed by all applicants. Please provide the following information for the organization that owns the property on which the exemption is being claimed.

Please provide the following information for the organization that owns the property on which the exemption is being claimed.

Please answer the following questions about the use of the entire property.

This section is to be completed if any part of the property is used for residential purposes. Please fill out the following information for each person who occupies the above-described property. List additional occupant’s information in the Additional information box below.

Signature of owner or authorized representative. By signing below, I certify that the above information is true and correct to the best of my knowledge, and I am the owner of the property or authorized representative of the organization that owns the property for which the exemption is being claimed.

This section is to be completed by all applicants. Please provide the following information for the organization that owns the property on which the exemption is being claimed.

Please provide the following information for the organization that owns the property on which the exemption is being claimed.

Please answer the following questions about the use of the entire property.

This section is to be completed if any part of the property is used for residential purposes. Please fill out the following information for each person who occupies the above-described property. List additional occupant’s information in the Additional information box below.

Signature of owner or authorized representative. By signing below, I certify that the above information is true and correct to the best of my knowledge, and I am the owner of the property or authorized representative of the organization that owns the property for which the exemption is being claimed.